Organization Active NPI

Susan Wexler Crater LCSW LLC

  • Clinical Social Worker
  • Bradenton, FL
National Provider Identifier
1922579069
Registry record updated Dec 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
SUSAN WEXLER CRATER LCSW LLC
Practice address
9114 58TH Dr E Ste 114
Bradenton, FL 34202-9074
Phone
(941) 961-8852
NPI assigned
Dec 16, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Susan Wexler Crater, LCSWNPI 1710347497
Title
Owner
Phone
(941) 961-8852

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

9114 58TH Dr E Ste 114
Bradenton, FL 34202-9074

Mailing address

4821 Royal Dornoch Cir
Bradenton, FL 34211-8444

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20191202002503 FL Part B Supplier - Clinic/Group Practice 7113350349 Receives reassigned benefits from 1 practitioner
Practice locations: Bradenton, FL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1544918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1544918400000",
    "number": "1922579069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4821 ROYAL DORNOCH CIR",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342118444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9114 58TH DR E STE 114",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342029074",
            "telephone_number": "941-961-8852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSAN WEXLER CRATER LCSW LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-16",
        "last_updated": "2018-12-16",
        "status": "A",
        "authorized_official_last_name": "CRATER",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "WEXLER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "941-961-8852",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bradenton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.